NPI | 1740033539 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMIA FISHER Credentialing 812-962-7894 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
207LP2900X Anesthesiology, Pain Medicine | |
208100000X Physical Medicine & Rehabilitation | |
208VP0000X Pain Medicine, Pain Medicine | |
332B00000X Durable Medical Equipment & Medical Supplies | |
363L00000X Nurse Practitioner | |
367500000X Nurse Anesthetist, Certified Registered | |
367H00000X Anesthesiologist Assistant | |
Enumeration Date | 2024-04-10 |
Last Update Date | 2024-04-10 |